Fatores de risco associados à readmissão hospitalar de pacientes cirúrgicos

Abstract

Background: Hospital discharge is an insufficient end point for quality assessment. Therefore, hospital readmissions have been the target of several studies. The leading causes of surgical readmission reported are the surgical site infection and gastrointestinal complications. The nutritional aspects have been the subject of research, but there is still a lack of studies involving exclusively surgical patients. This study aims to identify risk factors that facilitate the readmission and, consequently, contribute to improve the quality of care and reduce hospital costs. Objective: The purpose of this study is to identify the frequency and risk factors associated with hospital readmission after surgical procedures during periods of seven days and 30 days after hospital discharge. Method: This is a prospective cohort study conducted with patients undergoing elective and emergency surgical procedures at a university hospital in southern Brazil, from September to December 2015. There will be included patients aged 18 or over and able to provide the necessary information or caregiver who will. Data will be collected in the postoperative period using standardized questionnaires that include: biophysical profile, comorbidities, type and duration of surgery, socioeconomic evaluation, assessment of nutritional and functional status and the occurrence of postoperative complications. In the seven and thirty days after discharge, the patient will be contact by a phone call to verify the occurrence of readmission and their reasons. Expected results: It is expected that socioeconomic conditions will be related to hospital readmission. Also, patients with comorbidities, who underwent emergency surgery, prolonged operative time and length of stay, postoperative complications and worse nutritional status will have higher readmission rates than those without these conditions.